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    <meta charset="UTF-8">
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    <title>Document</title>
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    <form action="">
  <table border="1">
      <caption><h3>大学生心理健康调查表</h3></caption>
    <tr>
        <td><label for="name"> 姓名</label></td>
        <td>
           <label><input type="text" name="name" required></label> 
        </td>
    </tr>
    <tr>
        <td>性别:</td>
        <td>
             <label>男<input type="radio" name="sex" value="nan" checked="checked"></label>
             <label>女<input type="radio" name="sex" value="woman"></label>
        </td>
    </tr>
    <tr>
        <td>邮箱:</td>
        <td>
            <input type="password" name="email" placeholder="请填写真实邮箱">
        </td>
    </tr>
    <tr>
        <td>年龄</td>
        <td>
            <input type="number" name="age">
        </td>
    </tr>
    <tr>
        <td>籍贯</td>
        <td>
            <select name="jiguan">
                 <option value="河南" checked="checked">河南</option>
                 <option value="北京">北京</option>
                 <option value="上海">上海</option>
                 <option value="香港">香港</option>
                 <option value="浙江">浙江</option>
        </select>
        </td>
    </tr>
    <tr>
        <td>出生日期</td>
        <td>
            <input type="date" name="rili">
        </td>
    </tr>
    <tr>
        <td>上传身份证正反面</td>
        <td>
        <input type="file" name="sfz">
        </td>
    </tr>
    <tr>
        <td><h2>多选题</h2></td>
        <td></td>
    </tr>
    <tr>
        <td>下面哪些因素属于危险行为因素</td>
        <td>
            <input type="checkbox" name="zaiguodayalixiashenghuo">在过大压力下生活<br>
            <input type="checkbox" name="xiyan">吸烟<br>
            <input type="checkbox" name="baoli">暴力<br>
            <input type="checkbox" name="paobu">跑步<br>
        </td>
    </tr>
    <tr>
        <td></td>
        <td>
            简述大学生心理健康的标准 <br>
            <textarea name="liuyan" id="user" cols="35" rows="5">此处简答，字迹工整</textarea>
        </td>
    </tr>
    <tr>
        <td></td>
        <td> <input type="checkbox" name="wochengnuo" checked="checked"> 我承诺填写均为真实情况 <a href="3.html">详细条款</a></td>
    </tr>
    <tr>
        <td></td>
        <td>
            <input type="image" src="11月份月考/image/btn.png">
            <input type="reset" value="重置">
        </td>
    </tr>
  </table>
     </form>
</body>
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